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BMJ 2003;327:1089 (8 November), doi:10.1136/bmj.327.7423.1089
| The first 150 words of the full text of this article appear below. |
The BMJ leads the way among medical journals in emphasising the importance of patients having a voice and the concept of the expert patient.1 I have recently had the privilege of meeting a patient who is expert in the anticancer properties of vitamins and nutrients and in anticoagulation. His knowledge, skills, and attitudes have probably prolonged his life. Doctors and patients may learn from his experience on several levels.
He presented with a colon carcinoma in 1994 (at age 65) and subsequently had a liver metastasis. He underwent resection of the primary tumour and the liver metastasis and was deemed to be in clinical and radiological remission. In 2001 his cancer recurred in the form of a second liver metastasis. A further attempt to excise the liver lesion failed, and a surgical opinion in one country suggested that nothing further could be done with regard to resection or chemotherapy.
The
Mary R Cahill, consultant haematologist
department of haematology, Mid-Western Regional Hospital, Dooradoyle, Limerick, Republic of Ireland
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UK medical students have published unreleased government plans to restrict failed asylum seekers' access to medical care